Barts Health NHS Trust

Barts Health NHS Trust is an NHS trust based in London, England. Established in 2012, it runs five hospitals throughout the City of London and East London, and is one of the largest NHS trusts in England.

Barts Health NHS Trust
TypeNHS trust
Established1 April 2012
Headquarters80 Newark Street
London
E1 2ES[1]
Hospitals
Staff16,900 (2018/19)[2]
Websitewww.bartshealth.nhs.uk

History

The trust was established on 1 April 2012 following the dissolution and merger of three existing NHS trusts:[3]

  • Barts and The London NHS Trust and Newham University Hospital NHS Trust, both established on 21 February 1994 to provide services previously provided by the East London and The City Health Authority[4][5]
  • Whipps Cross University Hospital NHS Trust, established on 5 June 2000 to provide services previously provided by the Redbridge and Waltham Forest Health Authority[6]

Hospitals

The trust runs five hospitals:

It also used to run the London Chest Hospital in Bethnal Green, which closed in 2015. The trust has also taken on formal legal responsibility for the operation of the NHS Nightingale Hospital London, a temporary hospital set up at ExCeL London to treat patients during the 2020 coronavirus pandemic.[7]

Services

The trust serves a population of over 2.6 million people, in an area characterised by significant diversity and health inequalities. It is one of the largest NHS trusts in England, and accounts for 1.5% of all hospital activity in England. It provides district general hospital services to the London Boroughs of Tower Hamlets, Waltham Forest and Newham, and also provides some specialist services to a wider area, including some on a national basis. It runs the largest cardiovascular centre in the United Kingdom, the second largest cancer centre in London, and leading stroke and renal units.[8]

In addition to its five hospitals, the trust also runs a number of other facilities, including two birthing centres and some dental and primary care services.[9]

Performance

In January 2014 a Care Quality Commission inspection found that morale in the trust was low and that "Too many members of staff of all levels and across all sites came to us to express their concerns about being bullied, and many only agreed to speak to us in confidence."[10]

In September 2014 the local City and Hackney Clinical Commissioning Group complained that they had "significant evidence of failing administrative and support systems, which is reflected strongly and consistently in feedback received from local GPs”. There were concerns about waiting times performance, and levels of clinical harm.[11]

The trust was one of 26 responsible for half of the national growth in patients waiting more than four hours in accident and emergency over the 2014/5 winter.[12]

In June 2015 more than 80 doctors signed a letter highlighting “unsafe” bed occupancy rates, cuts impacting on staffing levels and overuse of agency nurses at the trust, and demanding that the private finance initiative contract should be bailed out.[13] The trust reported 1,200 vacancies – one-fifth of the nursing workforce in July 2015.[14]

The trust spent £83.6 million on agency staff in 2014/5.[15]

In March 2016 the Trust was rated as having a poor reporting culture in the Learning from Mistakes League.[16]

The trust was rated among the three worst nationally over care for women giving birth but disputes the rating.[17]

In January 2019 an MRI scanner at Whipps Cross failed, leading to 220 patients needing to be rebooked and 172 MRI breaches. The trust board papers showed that NHS England's capital funding constraints prevented "adequate investment in medical equipment to support safe, effective and timely care". It has applied for a £14 million loan covering essential expenditure.[18]

Finances

The trust has the largest private finance initiative (PFI) scheme within the NHS in England, with a capital value of £1.149 million, and spends £116 million on its annual repayments, amounting to around 8% of its annual income.[19][20]

It is one of the biggest providers of specialised services in England, which generated an income of £316.1 million in 2014/5.[21]

The trust spent £83.6 million on agency staff in 2014/5.[22]

The trust spent £935,500 on a “turnaround” management consultant, Donald Muir, a director of Titanium Global Solutions who worked at the Trust from October 2013 to July 2014.[23] The Trust spent more than £7m on five consultancy firms in the 14 months to December 2014:

  • Burnett Re-Engineering, £312,056;
  • Cairdeas Consulting, £202,030;
  • JAT HR, £252,875;
  • PwC, £4,857,833;
  • Titanium Global Solutions, £1,376,937[24]

The chief executive, Peter Morris, and chief nurse, Kay Riley, resigned their positions in February 2015, shortly after it was revealed that the trust reported a £93m deficit.[25] At the time, Mr Morris was the highest paid NHS Trust CEO in the country; receiving a salary of £275,000 per annum.[26] In March 2015 the trust was placed into special measures following a CQC report into Whipps Cross Hospital.[27] In May 2015 the CQC said it was seriously understaffed, focussed too little on safety and had cancelled operations on numerous occasions because there were too few beds, rating it inadequate.[28]

Overseas patients

The trust issued invoices to patients thought to be ineligible for NHS treatment totalling £10.1 million in 2018-9, but only collected £1.1 million.[29]

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See also

References
  1. "Contact details - Barts Health NHS Trust". Care Quality Commission. Retrieved 24 October 2019.
  2. "Accountability Report and Annual Accounts". Barts Health NHS Trust. Retrieved 23 October 2019.
  3. "The Barts Health National Health Service Trust (Establishment) and the Barts and The London National Health Service Trust, the Newham University Hospital National Health Service Trust and the Whipps Cross University Hospital National Health Service Trust (Dissolution) Order 2012". legislation.gov.uk. Retrieved 22 January 2020.
  4. "The Royal Hospital of St. Bartholomew, the Royal London Hospital and London Chest Hospital National Health Service Trust (Establishment) Order 1994". legislation.gov.uk. Retrieved 23 January 2020.
  5. "The Newham Healthcare National Health Service Trust (Establishment) Order 1994". legislation.gov.uk. Retrieved 23 January 2020.
  6. "The Whipps Cross Hospital National Health Service Trust (Establishment) Order 2000". legislation.gov.uk. Retrieved 23 January 2020.
  7. "Responsibility for the NHS Nightingale Hospital London". Barts Health NHS Trust. Retrieved 10 April 2020.
  8. "About us". Barts Health NHS Trust. Retrieved 22 January 2020.
  9. "Barts Health NHS Trust - Inspection report" (PDF). Care Quality Commission. Retrieved 22 January 2020.
  10. "Staff at Barts trust living in fear of bullying, says NHS watchdog". Evening Standard. 14 January 2014. Retrieved 14 January 2014.
  11. "Commissioners set out 'deep concerns' over East London trust". 2 October 2014. Retrieved 25 October 2014.
  12. "26 trusts responsible for half of national A&E target breach". Health Service Journal. 1 April 2015. Retrieved 3 May 2015.
  13. "Doctors call for bank-style intervention over £100m repayments due at Barts Health Trust". Evening Standard. 4 June 2015. Retrieved 10 June 2015.
  14. "NHS needs thousands of nurses as London wards are shut in 'perfect storm'". Evening Standard. 30 July 2015. Retrieved 22 August 2015.
  15. "Agency spending: the real picture". Health Service Journal. 26 November 2015. Retrieved 23 December 2015.
  16. "Trusts ranked in 'learning from mistakes' league". Health Service Journal. 9 March 2016. Retrieved 2 May 2016.
  17. NHS leaves one in four mothers alone during labour or childbirth The Guardian
  18. "Major trust's 'historic underinvestment' causing equipment failure". Health Service Journal. 11 March 2019. Retrieved 16 April 2019.
  19. "Making sense of PFI". Nuffield Trust. Retrieved 22 January 2020.
  20. "NHS hospital trusts to pay out further £55bn under PFI scheme". The Guardian. Retrieved 22 January 2020.
  21. "Analysed: The biggest NHS providers of specialised services". Health Service Journal. 16 October 2015. Retrieved 16 November 2015.
  22. "Agency spending: the real picture". Health Service Journal. 26 November 2015. Retrieved 23 December 2015.
  23. "Barts pays one management consultant £1m". Hospital Dr. 6 October 2014. Retrieved 27 October 2014.
  24. "Exclusive: Barts Health turnaround consultancy spend revealed". Health Service Journal. 19 January 2015. Retrieved 22 February 2015.
  25. "Barts Health chief executive and chief nurse resign". Guardian. 19 February 2015. Retrieved 22 February 2015.
  26. https://www.mirror.co.uk/news/uk-news/barts-health-nhs-boss-275k-5449774
  27. NHS trust put into special measures
  28. "Biggest NHS trust is failing on safety and quality of care, says watchdog". Guardian. 22 May 2015. Retrieved 7 June 2015.
  29. "Trusts missing out on tens of millions from overseas patients". Health Service Journal. 19 November 2019. Retrieved 9 January 2020.
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